JONATHAN WADE KOLLER - Pharmacist License in Illinois | # 049139232

JONATHAN WADE KOLLER

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049139232

License Status

NOT RENEWED

Business

N

First Name

JONATHAN

Middle

WADE

Last Name

KOLLER

Business Name

JONATHAN WADE KOLLER

Original Issue Date

11/15/2001

Effective Date

11/15/2001

Expiration Date

03/31/2003

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005